SCOTT L BRAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217524

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BRAKE

Business Name

SCOTT L BRAKE

Original Issue Date

04/19/2013

Effective Date

03/29/2019

Expiration Date

09/30/2020

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/08/2021